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Individual

JAYLUN IAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9 ARBOR SPRINGS TER STE 500, NEWNAN, GA 30265-4214
(770) 400-7270
Mailing address
157 STONEBRIDGE BLVD APT 1123, EDMOND, OK 73013-4675
(770) 833-6597

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
103701
GA

Other

Enumeration date
03/28/2022
Last updated
08/25/2025
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